Should be able to insert one finger between cast and skin;

Elevate limb above heart first 24-48 hours to reduce swelling;

Never insert objects use cool air from hair dryer for relief;

Application of pulling force to reduce fracture decrease spasm and pain;

Uses boots cuffs or tape on skin weight limited to 5-10 pounds;

Pins or screws inserted into bone allows heavier weights 15-30 pounds;

Weights must hang freely never removed manually check skin every 8 hours;

Perform per protocol monitor for drainage redness signs of infection;

Traction where extremity is suspended off bed client can move body;

Skeletal traction for spine move client as a unit without pressure on rods;

Amputation Common Causes

Peripheral vascular disease and diabetes mellitus are most common;

Below-the-knee amputation BKA and Above-the-knee amputation AKA;

Pain perceived in the amputated limb treat as real diminishes over time;

Medications like gabapentin calcitonin antidepressants and mirror therapy;

Residual Limb Wrapping

Use elastic bandages in figure-8 to reduce edema and shrink limb;

Reapply elastic bandages every 4 to 6 hours or whenever loose;

Flexion Contracture Prevention

Avoid elevating limb on pillows lie prone 30min daily;

Infection of the bone can be severe and difficult to treat;

Osteomyelitis Sources

UTI long-term IV diabetic foot ulcers surgery S aureus;

Osteomyelitis Symptoms

Constant bone pain fever erythema tenderness elevated WBC;

Osteomyelitis Treatment

Long-term IV antibiotics surgical debridement possible bone graft;

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Casts and Traction

Question	Answer
Cast Care Tightness	Should be able to insert one finger between cast and skin;
Cast Care Elevation	Elevate limb above heart first 24-48 hours to reduce swelling;
Cast Care Itching	Never insert objects use cool air from hair dryer for relief;
Traction Purpose	Application of pulling force to reduce fracture decrease spasm and pain;
Skin Traction	Uses boots cuffs or tape on skin weight limited to 5-10 pounds;
Skeletal Traction	Pins or screws inserted into bone allows heavier weights 15-30 pounds;
Traction Nursing	Weights must hang freely never removed manually check skin every 8 hours;
Pin Site Care	Perform per protocol monitor for drainage redness signs of infection;
Balanced Suspension	Traction where extremity is suspended off bed client can move body;
Halo Traction	Skeletal traction for spine move client as a unit without pressure on rods;
Amputation Common Causes	Peripheral vascular disease and diabetes mellitus are most common;
BKA vs AKA	Below-the-knee amputation BKA and Above-the-knee amputation AKA;
Phantom Limb Pain	Pain perceived in the amputated limb treat as real diminishes over time;
PLP Management	Medications like gabapentin calcitonin antidepressants and mirror therapy;
Residual Limb Wrapping	Use elastic bandages in figure-8 to reduce edema and shrink limb;
Wrapping Frequency	Reapply elastic bandages every 4 to 6 hours or whenever loose;
Flexion Contracture Prevention	Avoid elevating limb on pillows lie prone 30min daily;
Osteomyelitis	Infection of the bone can be severe and difficult to treat;
Osteomyelitis Sources	UTI long-term IV diabetic foot ulcers surgery S aureus;
Osteomyelitis Symptoms	Constant bone pain fever erythema tenderness elevated WBC;
Osteomyelitis Treatment	Long-term IV antibiotics surgical debridement possible bone graft;

Created by: Wasurenboh

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